Murad Mohammad Hassan, Gjerde Craig L, Bobula James, Ostrov Michael, Murad Mohammad Safwan
Division of Preventive and Occupational Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, Minnesota 55905, USA.
Qual Prim Care. 2009;17(5):351-7.
Several studies suggest that the gender of patients and their healthcare providers affects overall patient satisfaction.
We sought to determine whether the gender of patients or providers was associated with the number of complaints filed by patients against providers.
In this case-controlled study, complaints from a health maintenance organisation were analysed for gender disparity during a 12-month period.
The odds ratio for patients' female gender to be associated with complaints was 3.10 (95% confidence interval 1.73-5.55, P<0.001). Women were also more likely than men to cite providers' behaviour as the cause of complaints. No significant associations were noted between the number of complaints and a complainant's age, diagnosis of chronic pain or psychiatric illness, or with the provider's gender, age or length of employment in the organisation. The heterogeneity of gender effect demonstrated in the literature suggests that this effect is likely to be unique to the different practice settings.
Evaluating the presence of this phenomenon in the different practice settings is recommended, to improve patient satisfaction and subsequently the quality of care.
多项研究表明,患者及其医疗服务提供者的性别会影响患者的总体满意度。
我们试图确定患者或医疗服务提供者的性别是否与患者对医疗服务提供者提出投诉的数量有关。
在这项病例对照研究中,对一家健康维护组织在12个月期间的投诉进行了性别差异分析。
患者为女性与投诉相关的比值比为3.10(95%置信区间1.73 - 5.55,P<0.001)。女性也比男性更有可能将医疗服务提供者的行为作为投诉原因。投诉数量与投诉者的年龄、慢性疼痛或精神疾病诊断,或与医疗服务提供者的性别、年龄或在该组织的工作年限之间未发现显著关联。文献中显示的性别效应异质性表明,这种效应可能在不同的执业环境中是独特的。
建议评估不同执业环境中这种现象的存在情况,以提高患者满意度并进而改善医疗质量。